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1992, 11-03 Permit App: 92009700 Mechanical Fixtures#6554 11-3-92 ME`Cf-NN[CAL PERMq_APPLICATION FORM Information Worksheet JOE3STRE TADDRCSS uth 4228 Darcy pokane WA 99"2-06 - :. . Ct-rY1STATE(ZtP: _ S- - PARCELNUMBER•`�-= OWNER: Jeff Watkins - PHONE -NUMBER:':. 926--5955 MAILING ADDRESS= - 4228 Darcy Drive Spokane WA 99206 (Street) CONTRACTOR: 'Stu]MHeating, Inc'_ (City[State) (zip) LICENSENUMBER: STURMI* 210 OF PHONE NUMBER 325-4505 G ADDRESS: E. 204 Indiana Spokane WA. 99207 MAtUN (Street) (CitylState) (TP) MECHANICAL WORI(SHEEIIFEE SCHEDULE DESCRIPTION E111.1. 11� rR1CIDUCTwORK (SEPARATE SYSTEMS) a O.Sd ffllSRT .�. CAS WATER HEATER A.: E4Ulf'M . T 8L .D GAS EQUIPMENT+100,000 BTU DUCTWORfn___ _ �IP(NG��`r `. BOILER[REFRfG 1-100M BTU BOILERIREFRIG 501-1 MOM BTU - : • s_.: BOILERIREFRIG +1.750M BTU " HEAT PUtJiP &AIR CONDITIONER 3-15 TONS ���� <--.. $ A'iRICON�IXIO...ERk15S3TrOSr 't�r EAT p(h1sP -- _ HEAT PUMP 8: AIR CONDITIONER 30-50 TONS' ,HEAT ,"`�MP�gri�ta,,CO(`I l0 �bNE +50,� S��;y;=�=�s•.- VENTILATING FANS TYPE t HOOD (PER 12OR 12' PTN..OF HOOD) wilI fi@-o `� � 5 P,'-. C:f� :Q cFX1?i s r•4s, �Yr : CLOTHES DRYER. Y h `�"� :j- �t� w°��lFi•�i^f;!�:^=:`.a�'�� �tL�..'"'-'�:^c^%e,�a4':;: GAS LOG - 'SG��tr1�.1. �U. OT- y 0��-1�ED1�S.E11V F�1w�«• :c:" UNLISTED GAS APPLIANCE <400,000 BTU `S�R�P. ANCE,?at3O 003 8 CRT, i ; iLIr�S3A , - s USED APPi1ANCE <400,000 BTU AIR HANDIER C10,0ju CFM - -------------- NOTE: MINIMUM PERMIT FEE IS S35.00 SIGNIJURL- -- - _ NUMBER OF UNITS X EACH UNIT- = AMOUNT x 10.00 - x 25.00 = x 10.00 - x 12-00 - x 15.00 x 1.00 = x 12.00 = x 20.00 = x 25.00 x 35.00 = " x 60.00 = = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = X-10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = X100.00 - x 50.00 = . X100.00 = . XJ 2-00 =_ - x 15.00 1 $10 . m 1 SUBTOTAL S 24.00 PLUS: PROCESSING FEE S 25.00' EQUALS: TOTAL PERMIT FEE DUE 49.00 = S